Bill To:

KENTUCKY FARM BUREAU MUTUAL
9201 BUNSEN PARKWAY
LOUISVILLE, KY 40220-3792

Services Rendered To:

Eleanor Polston
9970 Knifley Road
Columbia, KY 42728
Policy # 0020192141


Product
Price
Qty
Amount

  1. 102 Engine Response (Per Hour)

    $350.00
    1
    $350.00

  2. 103 Rescue Response (Per Hour)

    $300.00
    1
    $300.00

  3. 401 Debris Cleanup/Removal (# Used)

    $250.00
    1
    $250.00

  4. 206 Latex Gloves (Pairs Used)

    $2.00
    4
    $8.00

  5. 201 Oil Absorbent Material (# Used)

    $35.00
    3
    $105.00

  6. 403 Traffic Control / Road Closure (Per Hour)

    $100.00
    1
    $100.00

  7. 306 Hose Per 50′ (Amt Used)

    $25.00
    1
    $25.00

    8. Additional Incident Info

    Incident Type: MVA Response

    Incident Location: Burkesville Road & Breeding Loop - Breeding, KY

Subtotal $1,138.00
Total Due $1,138.00


Checks Payable To:

Sure Fire Recovery Service, LLC
9711 S Mason Road 125-120
Richmond, TX 77407
Federal Tax ID – 83-4417185


  Please Include Incident Number On All Correspondence.
Updated
October 12, 2021 @ 2:27 pm

Invoice updated by Geoffrey.

Status Update
October 12, 2021 @ 2:28 pm

Status changed: Draft to Pending.